Deep TMS vs. Traditional TMS: Coil Physics & Stimulation Depth
Not all transcranial magnetic stimulation is identical. While first-generation TMS relies on flat, surface-level Figure-8 coils, BrainsWay Deep TMS™ (dTMS) utilizes patented three-dimensional H-Coil geometry that penetrates significantly deeper and broader into mood-regulating neural networks—producing higher clinical remission rates and eliminating focal coil misplacement.
Does Attuned Psychiatry take your insurance?
Select your healthcare network to verify in-network Deep TMS coverage & prior authorization support:
Why Penetration Depth & Field Distribution Matter
Depression and OCD do not reside strictly on the outer millimeter of the skull. Effective neuromodulation requires stimulating deeper interconnected networks without causing surface discomfort.
Deeper Field Penetration (~3.2 cm)
Traditional Figure-8 coils decay rapidly within 1.5 cm of the scalp, reaching only superficial cortical neurons. BrainsWay's patented H-Coil configuration sustains therapeutic field strength up to 3.2 cm, effectively reaching the deeper subgenual anterior cingulate pathways responsible for mood regulation.
Broad Network Coverage
Depression involves complex neural circuits across both hemispheres. Rather than firing a hyper-focused pinpoint pulse that can easily miss dysfunctional tissue, BrainsWay dTMS delivers broad, bilateral stimulation across the prefrontal cortex for consistent therapeutic activation.
Zero Focal Positioning Error
Traditional surface coils rest on a mechanical arm against the skull; a tiny patient head movement of just 2–3 millimeters can completely misdirect the pulse. BrainsWay's cushioned, anatomically fitted helmet moves naturally with the patient, guaranteeing 100% pulse delivery to the intended target.
BrainsWay Deep TMS™ vs. Traditional Surface TMS
An objective, clinical overview of technical specifications, FDA clearances, and real-world treatment parameters.
| Feature / Parameter | BrainsWay Deep TMS™ (Attuned Psychiatry) | Traditional Surface TMS (Figure-8 Coils) |
|---|---|---|
| Effective Depth of Penetration | Up to ~3.2 cm (Reaches deeper prefrontal networks & anterior cingulate connections) | ~1.0 to 1.5 cm (Limited to superficial cortical gray matter) |
| Coil Architecture & Delivery | Patented 3D H-Coil inside cushioned helmet; bilateral, broad prefrontal activation | Flat, 2D Figure-8 paddle positioned against scalp with mechanical arm |
| Sensitivity to Patient Head Movement | Extremely stable; helmet moves with the patient; no focal targeting loss | High sensitivity; minor millimeter shifts can cause pulses to miss the target DLPFC |
| Depression Session Duration | ~20 Minutes (or ~9 min Theta-Burst protocols) | ~37.5 Minutes (legacy protocols) or ~19 Minutes |
| FDA Clearance for OCD | FDA-Cleared with Dedicated H7-Coil (Targets medial prefrontal & anterior cingulate cortex) | Limited or off-label; traditional Figure-8 coils cannot reach the depth required for OCD circuits |
| Efficacy in Antidepressant-Resistant Patients | Proven clinical remission even in patients who failed 3+ antidepressant trials or prior surface TMS | Moderate efficacy; frequently requires precise neuronavigation to overcome surface limitations |
| Physician Oversight & Network Care | Led by Board-Certified Psychiatrist Dr. Gideon Matzkin, MD, ABPN; fully in-network | Varies; frequently operated by technician-only franchise centers |
Two Distinct Coils for Two Distinct Conditions
We utilize specialized BrainsWay coil configurations calibrated specifically for Major Depressive Disorder and Obsessive-Compulsive Disorder.
Major Depressive Disorder (MDD)
The BrainsWay H1-Coil is scientifically engineered to stimulate the left dorsolateral prefrontal cortex (DLPFC) while concurrently engaging bilateral frontal projections. This broad, deep excitation restores metabolic symmetry in underactive neural circuits, relieving persistent anhedonia, fatigue, and cognitive fog.
- Daily 20-minute outpatient sessions
- No systemic side effects, weight gain, or sexual dysfunction
- In-network with commercial payers & TRICARE East
Obsessive-Compulsive Disorder (OCD)
OCD pathology originates deep within the cortico-striato-thalamo-cortical (CSTC) loop—specifically the medial prefrontal cortex and anterior cingulate cortex (ACC). The BrainsWay H7-Coil penetrates deep enough to modulate these hyperactive circuits following personalized symptom provocation.
- Daily 18.5-minute specialized sessions
- First FDA-cleared non-invasive device for refractory OCD
- Proven relief from intrusive obsessions and ritualistic compulsions
What if You Previously Tried Traditional TMS Without Relief?
Many patients arrive at Attuned Psychiatry having completed a 36-session course of traditional Figure-8 TMS at another clinic without achieving full remission. If this happened to you, it does not mean neuromodulation cannot help you.
1. Depth Deficiency in Surface Coils
Patients with increased scalp-to-cortex distance or atypical cortical folding often receive inadequate magnetic field strength from surface coils. Deep TMS penetrates up to 3.2 cm, ensuring therapeutic activation regardless of cranial anatomy.
2. Integrated Multi-Modal Options
Under Dr. Gideon Matzkin's guidance, patients who need intensified care can combine Deep TMS with FDA-approved SPRAVATO® (esketamine) or precision medication adjustments—all managed seamlessly in our Decatur sanctuary.
Deep TMS vs. Traditional TMS FAQs
Clear, straightforward answers about treatment comfort, insurance approval, and scheduling.
What does BrainsWay Deep TMS feel like?
During treatment, you will hear a rapid clicking sound and feel a tapping sensation against your scalp, similar to a woodpecker or firm finger tap. Most patients acclimate within the first 2 to 3 sessions. You remain completely awake in a comfortable treatment chair, can watch television or chat with our team, and can return immediately to your normal routine.
How does Attuned Psychiatry handle insurance prior authorizations?
Our dedicated prior authorization team handles the entire process. We collect your clinical history, submit comprehensive documentation to your insurer (Aetna, Anthem BCBS, Optum/UHC, Cigna, TRICARE East, or Medicare), and track your approval status daily. You will know your exact network benefits before your mapping session begins.
Can I drive myself to and from daily appointments?
Yes. Deep TMS does not require anesthesia, muscle relaxants, or sedation. There is zero cognitive impairment, memory disruption, or post-treatment grogginess. You can drive yourself to our Decatur clinic and return straight to work or family obligations.
Do you offer accelerated or customized scheduling?
Yes. For patients with demanding executive schedules or severe clinical urgency, we offer flexible appointment scheduling including early morning slots, accelerated SWIFT protocols, and coordinated concurrent medication evaluations.
Request Your Deep TMS Consultation
Take the first step toward sustained recovery. Our clinical intake coordinator will verify your insurance and contact you within one business day.